Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

BILLINGS CLINIC BROADWATER

Townsend, MT · CCN 271333 · Rates published

1,507 distinct procedures filed
28 distinct payers
65,499 rate rows
2025-12-11 last MRF observed
Data quality

65,157 of 65,499 rate rows are consumer-grade (99.5%)

342 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 224
per-diem day rate — not a per-procedure price 116
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbBHCTOWNSENDMT&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/BroadWater_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 35680cf8ea65e43a… · 30,940,464 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 26 $64,077.39 $233,496.52 $82,873.42 nat. median
$7,581
outlier · 10.9×
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 26 $62,522.69 $219,578.78 $80,862.67 nat. median
$16,473
outlier · 4.9×
281
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Cc 25 $52,509.24 $70,012.32 $67,911.95 nat. median
$10,382
outlier · 6.5×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 26 $50,736.98 $192,019.71 $65,619.83 nat. median
$9,193
outlier · 7.1×
310
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 25 $39,473.62 $52,631.50 $51,052.55 nat. median
$6,751
outlier · 7.6×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 26 $38,602.50 $128,461.20 $49,925.90 nat. median
$13,246
outlier · 3.8×
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 26 $38,048.52 $145,489.76 $49,209.42 nat. median
$8,437
outlier · 5.8×
949
MS_DRG 		Aftercare With Cc/mcc 26 $34,808.89 $129,325.45 $45,019.49 nat. median
$12,475
outlier · 3.6×
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 26 $34,643.75 $129,105.26 $44,805.91 nat. median
$11,088
outlier · 4.0×
593
MS_DRG 		Skin Ulcers With Cc 26 $33,608.39 $127,724.78 $43,466.84 nat. median
$12,573
outlier · 3.5×
550
MS_DRG 		Septic Arthritis Without Cc/mcc 25 $32,954.25 $43,939.00 $42,620.83 nat. median
$9,692
outlier · 4.4×
394
MS_DRG 		Other Digestive System Diagnoses With Cc 25 $29,706.13 $39,608.18 $38,419.93 nat. median
$10,260
outlier · 3.7×
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 25 $27,356.77 $36,475.69 $35,381.42 nat. median
$14,625
outlier · 2.4×
93
MS_DRG 		Other Disorders Of Nervous System Without Cc/mcc 25 $26,599.50 $35,466.00 $34,402.02 nat. median
$9,007
outlier · 3.8×
694
MS_DRG 		Urinary Stones Without Mcc 26 $25,828.50 $99,584.40 $33,404.86 nat. median
$8,711
outlier · 3.8×
603
MS_DRG 		Cellulitis Without Mcc 25 $24,687.98 $32,917.30 $31,929.78 nat. median
$9,571
outlier · 3.3×
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 26 $23,487.75 $90,541.00 $30,377.49 nat. median
$8,665
outlier · 3.5×
948
MS_DRG 		Signs And Symptoms Without Mcc 26 $22,237.06 $82,951.01 $28,759.93 nat. median
$8,516
outlier · 3.4×
683
MS_DRG 		Renal Failure With Cc 26 $21,556.60 $82,043.74 $27,879.87 nat. median
$9,664
outlier · 2.9×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 26 $21,507.50 $81,978.27 $27,816.37 nat. median
$13,201
outlier · 2.1×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 26 $21,441.89 $81,890.78 $27,731.50 nat. median
$15,341
1.8× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 26 $21,186.47 $69,705.43 $27,401.17 nat. median
$10,875
outlier · 2.5×
950
MS_DRG 		Aftercare Without Cc/mcc 25 $20,585.81 $27,447.75 $26,624.32 nat. median
$7,554
outlier · 3.5×
291
MS_DRG 		Heart Failure And Shock With Mcc 26 $20,572.96 $74,809.82 $26,607.70 nat. median
$13,522
2.0× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 26 $19,928.71 $73,950.81 $25,774.47 nat. median
$19,049
1.4× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 26 $17,978.23 $65,427.77 $23,251.84 nat. median
$12,148
1.9× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 26 $17,814.65 $53,364.87 $23,040.28 nat. median
$9,125
outlier · 2.5×
552
MS_DRG 		Medical Back Problems Without Mcc 25 $17,505.38 $23,340.50 $22,640.29 nat. median
$10,424
outlier · 2.2×
947
MS_DRG 		Signs And Symptoms With Mcc 26 $16,620.00 $63,616.80 $21,495.20 nat. median
$12,688
1.7× median
292
MS_DRG 		Heart Failure And Shock With Cc 26 $16,463.64 $63,408.33 $21,292.98 nat. median
$9,636
outlier · 2.2×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 26 $16,272.51 $51,308.69 $21,045.79 nat. median
$11,105
1.9× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 26 $14,873.80 $43,521.33 $19,236.78 nat. median
$19,635
1.0× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 26 $14,137.76 $54,384.74 $18,284.83 nat. median
$16,647
1.1× median
J1459
HCPCS 		Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 28 $13,303.50 $19,005.00 $18,054.75 nat. median
$1,228
outlier · 14.7×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 28 $9,253.30 $13,219.00 $12,558.05 nat. median
$545
outlier · 23.0×
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 26 $9,386.96 $36,205.54 $12,140.46 nat. median
$8,071
1.5× median
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 25 $9,285.60 $12,380.80 $12,009.38 nat. median
$9,145
1.3× median
758
MS_DRG 		Infections, Female Reproductive System With Cc 26 $9,210.75 $30,048.20 $11,912.57 nat. median
$10,749
1.1× median
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 28 $6,886.60 $9,838.00 $9,346.10 nat. median
$112
outlier · 83.1×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 28 $6,597.50 $9,425.00 $8,953.75 nat. median
$5,949
1.5× median
J1561
HCPCS 		Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 28 $1,654.10 $18,726.00 $8,907.20 nat. median
$999
outlier · 8.9×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 28 $5,053.30 $7,219.00 $6,858.05 nat. median
$2,076
outlier · 3.3×
J0565
HCPCS 		Injection, Bezlotoxumab, 10 Mg 28 $4,968.60 $7,098.00 $6,743.10 nat. median
$144
outlier · 46.9×
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 26 $5,168.91 $18,736.68 $6,685.12 nat. median
$9,521
0.7× median
81162
HCPCS 		Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 28 $4,532.50 $6,475.00 $6,151.25 nat. median
$1,825
outlier · 3.4×
J0840
HCPCS 		Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 28 $4,489.10 $6,413.00 $6,092.35 nat. median
$3,427
1.8× median
Q5115
HCPCS 		Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 28 $3,614.80 $5,164.00 $4,905.80 nat. median
$885
outlier · 5.5×
J1599
HCPCS 		Injection, Immune Globulin, Intravenous, Non-lyophilized (e.g., Liquid), Not Oth… 28 $1,678.60 $9,515.00 $4,529.25 nat. median
$285
outlier · 15.9×
8028141_1
CDM 		Coronary Care Unit - General Classification 25 $3,217.50 $4,290.00 $4,161.30 nat. median
$3,498
1.2× median
8028202_1
CDM 		Room & Board - Other - Sterile Environment 25 $2,961.75 $3,949.00 $3,830.53 nat. median
$3,174
1.2× median

Other procedures at this hospital

Browse this hospital's 1,507 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 26 26 $85,436.52 $85,436.52 $64,077.39 $233,496.52 $82,873.42 2025-12-11
299 MS_DRG Peripheral Vascular Disorders With Mcc 26 26 $83,363.58 $83,363.58 $62,522.69 $219,578.78 $80,862.67 2025-12-11
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 25 25 $70,012.32 $70,012.32 $52,509.24 $70,012.32 $67,911.95 2025-12-11
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 26 26 $67,649.31 $67,649.31 $50,736.98 $192,019.71 $65,619.83 2025-12-11
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 25 25 $52,631.50 $52,631.50 $39,473.62 $52,631.50 $51,052.55 2025-12-11
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 26 26 $51,470.00 $51,470.00 $38,602.50 $128,461.20 $49,925.90 2025-12-11
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 26 26 $50,731.36 $50,731.36 $38,048.52 $145,489.76 $49,209.42 2025-12-11
949 MS_DRG Aftercare With Cc/mcc 26 26 $46,411.85 $46,411.85 $34,808.89 $129,325.45 $45,019.49 2025-12-11
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 26 26 $46,191.66 $46,191.66 $34,643.75 $129,105.26 $44,805.91 2025-12-11
593 MS_DRG Skin Ulcers With Cc 26 26 $44,811.18 $44,811.18 $33,608.39 $127,724.78 $43,466.84 2025-12-11
550 MS_DRG Septic Arthritis Without Cc/mcc 25 25 $43,939.00 $43,939.00 $32,954.25 $43,939.00 $42,620.83 2025-12-11
394 MS_DRG Other Digestive System Diagnoses With Cc 25 25 $39,608.18 $39,608.18 $29,706.13 $39,608.18 $38,419.93 2025-12-11
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 25 25 $36,475.69 $36,475.69 $27,356.77 $36,475.69 $35,381.42 2025-12-11
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 25 25 $35,466.00 $35,466.00 $26,599.50 $35,466.00 $34,402.02 2025-12-11
694 MS_DRG Urinary Stones Without Mcc 26 26 $34,438.00 $34,438.00 $25,828.50 $99,584.40 $33,404.86 2025-12-11
603 MS_DRG Cellulitis Without Mcc 25 25 $32,917.30 $32,917.30 $24,687.98 $32,917.30 $31,929.78 2025-12-11
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 26 26 $31,317.00 $31,317.00 $23,487.75 $90,541.00 $30,377.49 2025-12-11
948 MS_DRG Signs And Symptoms Without Mcc 26 26 $29,649.41 $29,649.41 $22,237.06 $82,951.01 $28,759.93 2025-12-11
683 MS_DRG Renal Failure With Cc 26 26 $28,742.14 $28,742.14 $21,556.60 $82,043.74 $27,879.87 2025-12-11
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 26 26 $28,676.67 $28,676.67 $21,507.50 $81,978.27 $27,816.37 2025-12-11
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 26 26 $28,589.18 $28,589.18 $21,441.89 $81,890.78 $27,731.50 2025-12-11
178 MS_DRG Respiratory Infections And Inflammations With Cc 26 26 $28,248.63 $28,248.63 $21,186.47 $69,705.43 $27,401.17 2025-12-11
950 MS_DRG Aftercare Without Cc/mcc 25 25 $27,447.75 $27,447.75 $20,585.81 $27,447.75 $26,624.32 2025-12-11
291 MS_DRG Heart Failure And Shock With Mcc 26 26 $27,430.62 $27,430.62 $20,572.96 $74,809.82 $26,607.70 2025-12-11
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 26 26 $26,571.61 $26,571.61 $19,928.71 $73,950.81 $25,774.47 2025-12-11
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 26 26 $23,970.97 $23,970.97 $17,978.23 $65,427.77 $23,251.84 2025-12-11
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 26 26 $23,752.87 $23,752.87 $17,814.65 $53,364.87 $23,040.28 2025-12-11
552 MS_DRG Medical Back Problems Without Mcc 25 25 $23,340.50 $23,340.50 $17,505.38 $23,340.50 $22,640.29 2025-12-11
947 MS_DRG Signs And Symptoms With Mcc 26 26 $22,160.00 $22,160.00 $16,620.00 $63,616.80 $21,495.20 2025-12-11
292 MS_DRG Heart Failure And Shock With Cc 26 26 $21,951.53 $21,951.53 $16,463.64 $63,408.33 $21,292.98 2025-12-11
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 26 26 $21,696.69 $21,696.69 $16,272.51 $51,308.69 $21,045.79 2025-12-11
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 26 26 $19,831.73 $19,831.73 $14,873.80 $43,521.33 $19,236.78 2025-12-11
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 26 26 $18,850.34 $18,850.34 $14,137.76 $54,384.74 $18,284.83 2025-12-11
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 28 28 $19,005.00 $19,005.00 $13,303.50 $19,005.00 $18,054.75 2025-12-11
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 28 28 $13,219.00 $13,219.00 $9,253.30 $13,219.00 $12,558.05 2025-12-11
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 26 26 $12,515.94 $12,515.94 $9,386.96 $36,205.54 $12,140.46 2025-12-11
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 25 25 $12,380.80 $12,380.80 $9,285.60 $12,380.80 $12,009.38 2025-12-11
758 MS_DRG Infections, Female Reproductive System With Cc 26 26 $12,281.00 $12,281.00 $9,210.75 $30,048.20 $11,912.57 2025-12-11
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 28 28 $9,838.00 $9,838.00 $6,886.60 $9,838.00 $9,346.10 2025-12-11
J3101 HCPCS Injection, Tenecteplase, 1 Mg 28 28 $9,425.00 $9,425.00 $6,597.50 $9,425.00 $8,953.75 2025-12-11
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 112 28 $9,321.00 $9,321.00 $1,654.10 $18,726.00 $8,907.20 2025-12-11
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 28 28 $7,219.00 $7,219.00 $5,053.30 $7,219.00 $6,858.05 2025-12-11
J0565 HCPCS Injection, Bezlotoxumab, 10 Mg 28 28 $7,098.00 $7,098.00 $4,968.60 $7,098.00 $6,743.10 2025-12-11
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 26 26 $6,891.88 $6,891.88 $5,168.91 $18,736.68 $6,685.12 2025-12-11
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 28 28 $6,475.00 $6,475.00 $4,532.50 $6,475.00 $6,151.25 2025-12-11
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 28 28 $6,413.00 $6,413.00 $4,489.10 $6,413.00 $6,092.35 2025-12-11
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 28 28 $5,164.00 $5,164.00 $3,614.80 $5,164.00 $4,905.80 2025-12-11
J1599 HCPCS Injection, Immune Globulin, Intravenous, Non-lyophilized (e.g., Liquid), Not Oth… 56 28 $5,956.50 $5,956.50 $1,678.60 $9,515.00 $4,529.25 2025-12-11
8028141_1 CDM Coronary Care Unit - General Classification 25 25 $4,290.00 $4,290.00 $3,217.50 $4,290.00 $4,161.30 2025-12-11
8028202_1 CDM Room & Board - Other - Sterile Environment 25 25 $3,949.00 $3,949.00 $2,961.75 $3,949.00 $3,830.53 2025-12-11
8028232_1 CDM Coronary Care Unit - General Classification 25 25 $3,922.00 $3,922.00 $2,941.50 $3,922.00 $3,804.34 2025-12-11
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 28 28 $3,671.00 $3,671.00 $2,569.70 $3,671.00 $3,487.45 2025-12-11
8028201_1 CDM Room & Board - Semi-private (two Beds) - General Classification 25 25 $3,581.00 $3,581.00 $2,685.75 $3,581.00 $3,473.57 2025-12-11
90378 HCPCS Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle 56 28 $4,211.50 $4,211.50 $2,382.10 $5,020.00 $3,458.50 2025-12-11
8028231_1 CDM Room & Board - Other - Sterile Environment 25 25 $3,436.00 $3,436.00 $2,577.00 $3,436.00 $3,332.92 2025-12-11
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 26 $3,420.08 $3,420.08 $2,565.06 $9,342.48 $3,317.48 2025-12-11
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 26 26 $3,210.94 $3,210.94 $2,408.21 $9,133.34 $3,114.61 2025-12-11
8028229_1 CDM Room & Board - Other - Other 25 25 $3,067.00 $3,067.00 $2,300.25 $3,067.00 $2,974.99 2025-12-11
J0897 HCPCS Injection, Denosumab, 1 Mg 28 28 $2,690.00 $2,690.00 $1,883.00 $2,690.00 $2,555.50 2025-12-11
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 28 28 $2,677.00 $2,677.00 $1,873.90 $2,677.00 $2,543.15 2025-12-11
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 56 28 $2,560.00 $2,560.00 $1,792.00 $2,560.00 $2,432.00 2025-12-11
70553 HCPCS MRI Scan Of Brain Before And After Contrast 56 28 $2,560.00 $2,560.00 $1,792.00 $2,560.00 $2,432.00 2025-12-11
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 56 28 $2,560.00 $2,560.00 $1,792.00 $2,560.00 $2,432.00 2025-12-11
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 56 28 $2,560.00 $2,560.00 $1,792.00 $2,560.00 $2,432.00 2025-12-11
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 56 28 $2,558.00 $2,558.00 $1,790.60 $2,558.00 $2,430.10 2025-12-11
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 84 28 $2,686.00 $2,686.00 $79.45 $2,686.00 $2,360.19 2025-12-11
A0434 HCPCS Specialty Care Transport (sct) 28 28 $2,437.00 $2,437.00 $1,705.90 $2,437.00 $2,315.15 2025-12-11
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 112 28 $2,309.00 $2,309.00 $1,616.30 $2,309.00 $2,193.55 2025-12-11
73720 HCPCS MRI Scan Of Leg Before And After Contrast 112 28 $2,309.00 $2,309.00 $1,616.30 $2,309.00 $2,193.55 2025-12-11
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 28 28 $2,221.00 $2,221.00 $1,554.70 $2,221.00 $2,109.95 2025-12-11
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 56 28 $2,210.00 $2,210.00 $1,547.00 $2,210.00 $2,099.50 2025-12-11
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 28 28 $2,056.00 $2,056.00 $1,439.20 $2,056.00 $1,953.20 2025-12-11
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 84 28 $2,210.00 $2,210.00 $87.12 $2,210.00 $1,941.93 2025-12-11
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 84 28 $2,122.00 $2,122.00 $76.08 $2,122.00 $1,864.60 2025-12-11
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 28 28 $1,960.00 $1,960.00 $1,372.00 $1,960.00 $1,862.00 2025-12-11
74160 HCPCS CT Scan Of Abdomen With Contrast 84 28 $2,090.00 $2,090.00 $55.52 $2,090.00 $1,836.49 2025-12-11
A0426 HCPCS Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als … 28 28 $1,899.00 $1,899.00 $1,329.30 $1,899.00 $1,804.05 2025-12-11
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 112 28 $1,893.00 $1,893.00 $1,325.10 $1,893.00 $1,798.35 2025-12-11
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 28 28 $1,889.00 $1,889.00 $1,322.30 $1,889.00 $1,794.55 2025-12-11
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 84 28 $2,024.00 $2,024.00 $75.77 $2,024.00 $1,778.49 2025-12-11
70551 HCPCS MRI Scan Of Brain Without Contrast 56 28 $1,815.00 $1,815.00 $1,270.50 $1,815.00 $1,724.25 2025-12-11
72195 HCPCS MRI Scan Of Pelvis Without Contrast 56 28 $1,806.00 $1,806.00 $1,264.20 $1,806.00 $1,715.70 2025-12-11
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 56 28 $1,753.00 $1,753.00 $1,227.10 $1,753.00 $1,665.35 2025-12-11
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 28 28 $1,735.00 $1,735.00 $1,214.50 $1,735.00 $1,648.25 2025-12-11
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 56 28 $1,733.00 $1,733.00 $1,213.10 $1,733.00 $1,646.35 2025-12-11
86711 HCPCS Analysis For Antibody To John Cunningham Virus 28 28 $1,718.00 $1,718.00 $1,202.60 $1,718.00 $1,632.10 2025-12-11
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 56 28 $1,717.00 $1,717.00 $1,201.90 $1,717.00 $1,631.15 2025-12-11
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 94 28 $1,907.00 $1,907.00 $61.05 $1,907.00 $1,620.95 2025-12-11
90380 HCPCS Respiratory Syncytial Virus Antibody, 0.5 Ml Dosage For Injection Into Muscle 28 28 $1,621.00 $1,621.00 $1,134.70 $1,621.00 $1,539.95 2025-12-11
90381 HCPCS Respiratory Syncytial Virus Antibody, 1.0 Ml Dosage For Injection Into Muscle 28 28 $1,621.00 $1,621.00 $1,134.70 $1,621.00 $1,539.95 2025-12-11
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 57 28 $2,146.00 $2,146.00 $79.14 $2,146.00 $1,502.20 2025-12-11
J0248 HCPCS Injection, Remdesivir, 1 Mg 28 28 $1,578.00 $1,578.00 $1,104.60 $1,578.00 $1,499.10 2025-12-11
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 112 28 $1,577.00 $1,577.00 $1,103.90 $1,577.00 $1,498.15 2025-12-11
73222 HCPCS MRI Scan Of Arm Joint With Contrast 112 28 $1,577.00 $1,577.00 $1,103.90 $1,577.00 $1,498.15 2025-12-11
11012 HCPCS Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A… 56 28 $1,813.50 $1,813.50 $402.43 $2,170.00 $1,466.14 2025-12-11
81222 HCPCS Gene Analysis (cystic Fibrosis Transmembrane Conductance Regular) Duplication Or… 28 28 $1,520.00 $1,520.00 $1,064.00 $1,520.00 $1,444.00 2025-12-11
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 84 28 $1,622.00 $1,622.00 $95.10 $1,622.00 $1,425.25 2025-12-11
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 28 28 $1,485.00 $1,485.00 $1,039.50 $1,485.00 $1,410.75 2025-12-11
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 28 28 $1,485.00 $1,485.00 $1,039.50 $1,485.00 $1,410.75 2025-12-11
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 28 28 $1,469.00 $1,469.00 $1,028.30 $1,469.00 $1,395.55 2025-12-11
73718 HCPCS MRI Scan Of Leg Without Contrast 112 28 $1,478.00 $1,478.00 $991.90 $1,539.00 $1,393.96 2025-12-11
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 56 28 $1,540.50 $1,540.50 $478.23 $1,523.87 $1,362.88 2025-12-11
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 112 28 $1,417.00 $1,417.00 $991.90 $1,417.00 $1,346.15 2025-12-11
74181 HCPCS MRI Scan Of Abdomen Without Contrast 56 28 $1,387.00 $1,387.00 $970.90 $1,387.00 $1,317.65 2025-12-11
P9010 HCPCS Blood (whole), For Transfusion, Per Unit 28 28 $1,378.00 $1,378.00 $964.60 $1,378.00 $1,309.10 2025-12-11
27266 HCPCS Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia 56 28 $1,574.00 $1,574.00 $576.91 $1,801.00 $1,306.59 2025-12-11
72125 HCPCS CT Scan Of Upper Spine Without Contrast 84 28 $1,384.00 $1,384.00 $43.56 $1,384.00 $1,216.12 2025-12-11
73218 HCPCS MRI Scan Of Arm Without Contrast 140 28 $1,278.00 $1,278.00 $894.60 $1,278.00 $1,214.10 2025-12-11
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 28 28 $1,252.00 $1,252.00 $876.40 $1,252.00 $1,189.40 2025-12-11
74150 HCPCS CT Scan Of Abdomen Without Contrast 84 28 $1,290.00 $1,290.00 $51.84 $1,290.00 $1,133.53 2025-12-11
81240 HCPCS Gene Analysis (prothrombin, Coagulation Factor Ii) A Variant 28 28 $1,192.00 $1,192.00 $834.40 $1,192.00 $1,132.40 2025-12-11
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 84 28 $1,266.00 $1,266.00 $78.84 $1,266.00 $1,112.43 2025-12-11
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 56 28 $1,361.00 $1,361.00 $409.79 $1,970.00 $1,099.29 2025-12-11
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 56 28 $1,435.00 $1,435.00 $102.77 $2,283.00 $1,083.74 2025-12-11
Q5110 HCPCS Injection, Filgrastim-aafi, Biosimilar, (nivestym), 1 Microgram 28 28 $1,125.00 $1,125.00 $787.50 $1,125.00 $1,068.75 2025-12-11
A0427 HCPCS Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - … 28 28 $1,112.00 $1,112.00 $778.40 $1,112.00 $1,056.40 2025-12-11
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 112 28 $1,411.00 $1,411.00 $77.92 $2,381.00 $1,047.24 2025-12-11
49405 HCPCS Drainage Of Fluid Collection By Tube Through Skin Using Imaging Guidance 56 28 $1,384.00 $1,384.00 $184.74 $2,197.00 $1,045.88 2025-12-11
49406 HCPCS Drainage Of Fluid Collection Of Abdominal Cavity By Tube Using Imaging Guidance 56 28 $1,383.50 $1,383.50 $184.41 $2,197.00 $1,045.40 2025-12-11
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 56 28 $1,088.50 $1,088.50 $514.38 $1,507.00 $1,041.83 2025-12-11
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 56 28 $1,258.00 $1,258.00 $490.76 $1,507.00 $1,018.21 2025-12-11
20103 HCPCS Exploration Of Wound Of Arm Or Leg 56 28 $1,268.50 $1,268.50 $336.34 $1,575.00 $1,017.82 2025-12-11
99291 HCPCS Critical Care, First 30-74 Minutes 56 28 $1,347.00 $1,347.00 $205.41 $2,268.00 $1,000.41 2025-12-11
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 56 28 $1,235.00 $1,235.00 $467.54 $1,507.00 $994.99 2025-12-11
27818 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 56 28 $1,206.50 $1,206.50 $443.62 $1,507.00 $971.07 2025-12-11
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 84 28 $1,010.00 $1,010.00 $587.30 $1,126.00 $958.30 2025-12-11
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 56 28 $1,279.00 $1,279.00 $76.08 $2,126.00 $953.62 2025-12-11
32550 HCPCS Insertion Of Indwelling Tube For Drainage Of Lung Fluid 56 28 $1,244.00 $1,244.00 $194.36 $1,884.00 $952.34 2025-12-11
24675 HCPCS Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow With Manip… 56 28 $1,185.00 $1,185.00 $421.42 $1,507.00 $948.87 2025-12-11
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 28 28 $932.00 $932.00 $652.40 $932.00 $885.40 2025-12-11
8327161_1 CDM Combivent Respimat 20-100 Mcg 28 28 $916.00 $916.00 $641.20 $916.00 $870.20 2025-12-11
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 50 28 $1,027.00 $1,027.00 $80.39 $1,027.00 $847.28 2025-12-11
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 56 28 $1,145.50 $1,145.50 $55.22 $1,979.00 $843.97 2025-12-11
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 56 28 $1,069.00 $1,069.00 $70.86 $1,781.00 $796.50 2025-12-11
73702 HCPCS CT Scan Of Leg Before And After Contrast 112 28 $1,080.00 $1,080.00 $52.76 $1,861.00 $796.37 2025-12-11
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 56 28 $1,054.00 $1,054.00 $60.13 $1,767.00 $783.84 2025-12-11
36430 HCPCS Transfusion Of Blood Or Blood Products 28 28 $811.00 $811.00 $567.70 $811.00 $770.45 2025-12-11
93976 HCPCS Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 84 28 $865.00 $865.00 $36.20 $865.00 $760.08 2025-12-11
8338264_1 CDM Symbicort 160-4.5 Mcg Inhaler 28 28 $789.00 $789.00 $552.30 $789.00 $749.55 2025-12-11
Q5125 HCPCS Injection, Filgrastim-ayow, Biosimilar, (releuko), 1 Microgram 28 28 $784.00 $784.00 $548.80 $784.00 $744.80 2025-12-11
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 112 28 $971.00 $971.00 $81.60 $1,476.00 $742.61 2025-12-11
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 28 28 $775.00 $775.00 $542.50 $775.00 $736.25 2025-12-11
72129 HCPCS CT Scan Of Middle Spine With Contrast 56 28 $981.00 $981.00 $53.07 $1,663.00 $727.06 2025-12-11
72132 HCPCS CT Scan Of Lower Spine With Contrast 56 28 $977.50 $977.50 $53.07 $1,656.00 $724.62 2025-12-11
72126 HCPCS CT Scan Of Upper Spine With Contrast 56 28 $977.50 $977.50 $53.08 $1,656.00 $724.62 2025-12-11
71270 HCPCS CT Scan Of Chest Before And After Contrast 56 28 $966.50 $966.50 $56.89 $1,593.00 $722.45 2025-12-11
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 56 28 $943.50 $943.50 $55.22 $1,573.00 $702.84 2025-12-11
81514 HCPCS Measurement Of DNA Of Bacteria In Vaginal Fluid Specimen 28 28 $735.00 $735.00 $514.50 $735.00 $698.25 2025-12-11
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 56 28 $935.50 $935.50 $148.74 $1,562.00 $696.57 2025-12-11
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 56 28 $913.00 $913.00 $179.25 $1,456.00 $689.05 2025-12-11
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 56 28 $909.00 $909.00 $55.83 $1,503.00 $678.83 2025-12-11
81207 HCPCS Translocation Analysis (bcr/abl1) Minor Breakpoint 28 28 $711.00 $711.00 $497.70 $711.00 $675.45 2025-12-11
71260 HCPCS CT Scan Of Chest With Contrast 56 28 $898.50 $898.50 $53.01 $1,490.00 $670.39 2025-12-11
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 56 28 $855.00 $855.00 $54.91 $1,355.00 $646.42 2025-12-11
P9040 HCPCS Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit 28 28 $665.00 $665.00 $465.50 $665.00 $631.75 2025-12-11
8028192_1 CDM Room & Board - Other - Sterile Environment 25 25 $645.00 $645.00 $483.75 $645.00 $625.65 2025-12-11
8028228_1 CDM Room & Board - Other - Sterile Environment 25 25 $645.00 $645.00 $483.75 $645.00 $625.65 2025-12-11
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 56 28 $806.00 $806.00 $168.54 $1,223.00 $616.72 2025-12-11
8318711_1 CDM Santyl Ointment 28 28 $645.00 $645.00 $451.50 $645.00 $612.75 2025-12-11
87154 HCPCS Amplifed Nucleic Acid Probe Typing Of Disease Agent In Blood Culture Specimen 28 28 $643.00 $643.00 $450.10 $643.00 $610.85 2025-12-11
8337390_1 CDM Tresiba Flextouch 200 Unit/ml 28 28 $638.00 $638.00 $446.60 $638.00 $606.10 2025-12-11
72131 HCPCS CT Scan Of Lower Spine Without Contrast 56 28 $815.50 $815.50 $43.56 $1,384.00 $604.19 2025-12-11
73701 HCPCS CT Scan Of Leg With Contrast Material 112 28 $796.00 $796.00 $50.31 $1,305.00 $595.94 2025-12-11
26775 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation Under Anesthesia 56 28 $885.50 $885.50 $361.11 $1,113.56 $591.85 2025-12-11
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 56 28 $784.50 $784.50 $116.30 $1,345.00 $587.05 2025-12-11
72128 HCPCS CT Scan Of Middle Spine Without Contrast 56 28 $789.50 $789.50 $43.56 $1,332.00 $586.00 2025-12-11
73201 HCPCS CT Scan Of Arm With Contrast 112 28 $771.00 $771.00 $50.31 $1,255.00 $578.44 2025-12-11
86366 HCPCS Test For Muscle-specific Kinase Antibody 28 28 $598.00 $598.00 $418.60 $598.00 $568.10 2025-12-11
71250 HCPCS CT Scan Of Chest Without Contrast 56 28 $752.00 $752.00 $49.13 $1,252.00 $560.42 2025-12-11
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 28 28 $585.00 $585.00 $409.50 $585.00 $555.75 2025-12-11
G0379 HCPCS Direct Admission Of Patient For Hospital Observation Care 28 28 $575.00 $575.00 $402.50 $575.00 $546.25 2025-12-11
12020 HCPCS Simple Closure Of Surface Wound Reopening 94 28 $610.00 $610.00 $184.72 $765.00 $545.15 2025-12-11
81256 HCPCS Gene Analysis (hemochromatosis) Common Variants 28 28 $572.00 $572.00 $400.40 $572.00 $543.40 2025-12-11
P9021 HCPCS Red Blood Cells, Each Unit 28 28 $570.00 $570.00 $399.00 $570.00 $541.50 2025-12-11
73700 HCPCS CT Scan Of Leg Without Contrast 112 28 $723.50 $723.50 $43.56 $1,200.00 $539.79 2025-12-11
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 28 28 $554.00 $554.00 $387.80 $554.00 $526.30 2025-12-11
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 28 28 $546.00 $546.00 $382.20 $546.00 $518.70 2025-12-11
7780189_1 CDM Surgicel Fibrillar 2x4in__twn 28 28 $545.00 $545.00 $381.50 $545.00 $517.75 2025-12-11
81292 HCPCS Gene Analysis (mutL Homolog 1, Colon Cancer, Nonpolyposis Type 2) Full Sequence … 28 28 $540.00 $540.00 $378.00 $540.00 $513.00 2025-12-11
70450 HCPCS CT Scan Head Or Brain Without Contrast 56 28 $688.50 $688.50 $37.12 $1,169.00 $510.03 2025-12-11
70487 HCPCS CT Scan Of Face With Contrast 56 28 $661.50 $661.50 $49.08 $1,046.00 $500.45 2025-12-11
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 56 28 $562.50 $562.50 $250.34 $610.00 $499.55 2025-12-11
P9051 HCPCS Whole Blood Or Red Blood Cells, Leukocytes Reduced, Cmv-negative, Each Unit 28 28 $520.00 $520.00 $364.00 $520.00 $494.00 2025-12-11
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 56 28 $645.50 $645.50 $52.34 $1,004.00 $490.59 2025-12-11
73200 HCPCS CT Scan Of Arm Without Contrast 168 28 $652.00 $652.00 $43.56 $1,057.00 $489.75 2025-12-11
81298 HCPCS Gene Analysis (mutS Homolog 6 [e Coli]) Full Sequence Analysis 28 28 $513.00 $513.00 $359.10 $513.00 $487.35 2025-12-11
92960 HCPCS External Shock To Heart To Regulate Heart Beat 56 28 $633.50 $633.50 $103.72 $951.00 $486.11 2025-12-11
12035 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.… 56 28 $559.50 $559.50 $235.68 $635.00 $470.42 2025-12-11
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 56 28 $608.00 $608.00 $116.24 $951.00 $461.38 2025-12-11
C1751 HCPCS Catheter, Infusion, Inserted Peripherally, Centrally Or Midline (other Than Hemo… 28 28 $473.00 $473.00 $331.10 $473.00 $449.35 2025-12-11
0027U HCPCS Gene Analysis (Janus Kinase 2) Of Targeted Sequence Exons 12-15 28 28 $471.00 $471.00 $329.70 $471.00 $447.45 2025-12-11
24600 HCPCS Repair Of Dislocated Elbow 56 28 $566.50 $566.50 $312.90 $696.12 $447.00 2025-12-11
6984200_1 CDM Set Needle 15gx25mm Ez-io (__stw 28 28 $464.00 $464.00 $324.80 $464.00 $440.80 2025-12-11
33016 HCPCS Drainage Of Heart Sac Using Imaging Guidance 49 28 $482.00 $482.00 $222.18 $482.00 $438.90 2025-12-11
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 28 28 $462.00 $462.00 $323.40 $462.00 $438.90 2025-12-11
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 28 28 $459.00 $459.00 $321.30 $459.00 $436.05 2025-12-11
90678 HCPCS Respiratory Syncytial Virus Vaccine, preF, Subunit, Bivalent, For Intramuscular … 28 28 $457.00 $457.00 $319.90 $457.00 $434.15 2025-12-11
70486 HCPCS CT Scan Of Face Without Contrast 56 28 $577.50 $577.50 $37.43 $945.00 $432.60 2025-12-11
86363 HCPCS Flow Cytometry Detection Of Myelin Oligodendrocyte Glycoprotein (mog-igg1) Antib… 28 28 $455.00 $455.00 $318.50 $455.00 $432.25 2025-12-11
86053 HCPCS Flow Cytometry Detection Of Aquaporin-4 (neuromyelitis Optica [nmo]) Antibody 28 28 $455.00 $455.00 $318.50 $455.00 $432.25 2025-12-11
92523 HCPCS Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension … 28 28 $453.00 $453.00 $317.10 $453.00 $430.35 2025-12-11
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 84 28 $486.00 $486.00 $31.02 $486.00 $427.05 2025-12-11
64447 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral Nerve) 50 28 $517.00 $517.00 $61.37 $517.00 $426.52 2025-12-11
11760 HCPCS Repair Of Fingernail Or Toenail Bed 56 28 $542.50 $542.50 $106.62 $761.00 $423.49 2025-12-11
85598 HCPCS Phospholipid Test 28 28 $432.00 $432.00 $302.40 $432.00 $410.40 2025-12-11
82139 HCPCS Amino Acid Level, 6 Or More Amino Acids, Quantitative, Each Specimen 28 28 $429.00 $429.00 $300.30 $429.00 $407.55 2025-12-11
26755 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation 56 28 $488.00 $488.00 $281.93 $563.86 $405.00 2025-12-11
76830 HCPCS Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina 84 28 $460.00 $460.00 $31.68 $460.00 $404.20 2025-12-11
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 168 28 $452.00 $452.00 $20.03 $452.00 $397.17 2025-12-11
87505 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 28 28 $407.00 $407.00 $284.90 $407.00 $386.65 2025-12-11
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 56 28 $462.50 $462.50 $269.50 $614.20 $385.00 2025-12-11
7724927_1 CDM Mask S Comfortgel Blue W/head__twn 28 28 $405.00 $405.00 $283.50 $405.00 $384.75 2025-12-11
7755816_1 CDM Mask M Comfortgel Blue W/head__twn 28 28 $404.00 $404.00 $282.80 $404.00 $383.80 2025-12-11
A0429 HCPCS Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency) 28 28 $403.00 $403.00 $282.10 $403.00 $382.85 2025-12-11
76870 HCPCS Ultrasound Scan Of Scrotum 56 28 $512.00 $512.00 $29.09 $865.00 $379.87 2025-12-11
36680 HCPCS Insertion Of Needle For Infusion Into Bone 28 28 $397.00 $397.00 $277.90 $397.00 $377.15 2025-12-11
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 28 28 $396.00 $396.00 $277.20 $396.00 $376.20 2025-12-11
80306 HCPCS Testing For Presence Of Drug, Read By Instrument Assisted Observation 28 28 $394.00 $394.00 $275.80 $394.00 $374.30 2025-12-11
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 56 28 $402.00 $402.00 $199.95 $399.90 $364.62 2025-12-11
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 56 28 $480.00 $480.00 $36.19 $762.00 $362.73 2025-12-11
90710 HCPCS Measles, Mumps, Rubella, And Varicella Vaccine 28 28 $381.00 $381.00 $266.70 $381.00 $361.95 2025-12-11
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 56 28 $453.00 $453.00 $101.75 $593.00 $359.36 2025-12-11
99236 HCPCS Hospital Inpatient Or Observation Care With Admission And Discharge On The Same … 28 28 $417.00 $417.00 $199.34 $404.49 $359.18 2025-12-11
92610 HCPCS Evaluation Of Swallowing Function 28 28 $375.00 $375.00 $262.50 $375.00 $356.25 2025-12-11
12042 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm 60 28 $392.00 $392.00 $190.93 $392.00 $352.80 2025-12-11
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 56 28 $386.50 $386.50 $185.79 $392.00 $350.33 2025-12-11
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 56 28 $381.00 $381.00 $179.63 $392.00 $349.68 2025-12-11
A0428 HCPCS Ambulance Service, Basic Life Support, Non-emergency Transport, (bls) 28 28 $368.00 $368.00 $257.60 $368.00 $349.60 2025-12-11
11982 HCPCS Removal Of Drug Delivery Implant From Tissue 94 28 $397.00 $397.00 $70.35 $444.00 $348.85 2025-12-11
87536 HCPCS Detection Test By Nucleic Acid For HIV-1 Virus, Quantification 28 28 $365.00 $365.00 $255.50 $365.00 $346.75 2025-12-11
85130 HCPCS Assessment Of Blood Clotting Function 28 28 $365.00 $365.00 $255.50 $365.00 $346.75 2025-12-11
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 50 28 $386.00 $386.00 $136.49 $386.00 $339.12 2025-12-11
72192 HCPCS CT Scan Of Pelvis Without Contrast 122 28 $354.00 $354.00 $47.24 $2,210.00 $336.30 2025-12-11
99223 HCPCS Initial Hospital Inpatient Or Observation Care With High Level Of Medical Decisi… 28 28 $363.00 $363.00 $167.03 $352.11 $333.85 2025-12-11
J2002 HCPCS Injection, Lidocaine Hcl In 5% Dextrose, 1 Mg 56 28 $462.00 $462.00 $47.60 $856.00 $333.60 2025-12-11
96365 HCPCS Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, 1 Hour Or Less 56 28 $349.50 $349.50 $244.30 $350.00 $332.50 2025-12-11
32554 HCPCS Aspiration Of Fluid From Chest Cavity 56 28 $440.50 $440.50 $84.27 $706.00 $331.98 2025-12-11
82088 HCPCS Aldosterone Hormone Level 28 28 $348.00 $348.00 $243.60 $348.00 $330.60 2025-12-11
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 56 28 $431.50 $431.50 $36.18 $663.00 $329.05 2025-12-11
90651 HCPCS Human Papillomavirus Vaccine Types 6, 11, 16, 18, 31, 33, 45, 52, 58, Nonavalent 28 28 $346.00 $346.00 $242.20 $346.00 $328.70 2025-12-11
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 28 28 $345.00 $345.00 $241.50 $345.00 $327.75 2025-12-11
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 56 28 $428.50 $428.50 $35.54 $663.00 $326.14 2025-12-11
77066 HCPCS Diagnostic Mammography Of Both Breasts 28 28 $341.00 $341.00 $238.70 $341.00 $323.95 2025-12-11
82542 HCPCS Chemical Analysis Using Chromatography Technique 28 28 $340.00 $340.00 $238.00 $340.00 $323.00 2025-12-11
76817 HCPCS Vaginal Ultrasound Of Pregnant Uterus 84 28 $365.00 $365.00 $34.27 $365.00 $320.73 2025-12-11
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 84 28 $365.00 $365.00 $45.26 $365.00 $320.73 2025-12-11
81270 HCPCS Gene Analysis (Janus Kinase 2) Variant 28 28 $336.00 $336.00 $235.20 $336.00 $319.20 2025-12-11
8928610_1 CDM Sodium Polystyrene Sulf Powder 28 28 $336.00 $336.00 $235.20 $336.00 $319.20 2025-12-11
28665 HCPCS Closed Treatment Of Dislocated Joint In Toe Under Anesthesia 56 28 $351.00 $351.00 $124.09 $366.00 $318.81 2025-12-11
81206 HCPCS Translocation Analysis (bcr/abl1) Major Breakpoint 56 28 $406.50 $406.50 $144.20 $607.00 $315.45 2025-12-11
81596 HCPCS Biochemical Assays For Evaluation Of Chronic Hepatitis C Virus Infection 28 28 $328.00 $328.00 $229.60 $328.00 $311.60 2025-12-11
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 56 28 $364.50 $364.50 $217.00 $419.00 $310.00 2025-12-11
86580 HCPCS Skin Test For Tuberculosis 28 28 $326.00 $326.00 $228.20 $326.00 $309.70 2025-12-11
81241 HCPCS Gene Analysis (coagulation Factor V) Leiden Variant 28 28 $323.00 $323.00 $226.10 $323.00 $306.85 2025-12-11
85306 HCPCS Protein S (clotting Inhibitor) Measurement 56 28 $372.50 $372.50 $196.00 $465.00 $302.75 2025-12-11
82642 HCPCS Measurement Of Dihydrotestosterone 28 28 $318.00 $318.00 $222.60 $318.00 $302.10 2025-12-11
76819 HCPCS Ultrasound Scan Of Fetus 56 28 $392.50 $392.50 $34.92 $589.00 $301.21 2025-12-11
90670 HCPCS Pneumococcal Vaccine, 13-valent 28 28 $317.00 $317.00 $221.90 $317.00 $301.15 2025-12-11
11983 HCPCS Removal With Reinsertion Of Drug Delivery Implant Into Tissue 56 28 $302.50 $302.50 $100.03 $397.00 $299.88 2025-12-11
80055 HCPCS Obstetric Blood Test Panel 28 28 $315.00 $315.00 $220.50 $315.00 $299.25 2025-12-11
12002 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 84 28 $312.00 $312.00 $56.77 $360.00 $296.40 2025-12-11
76506 HCPCS Ultrasound Scan Of Brain 56 28 $391.00 $391.00 $29.08 $622.00 $295.30 2025-12-11
70488 HCPCS CT Scan Of Face Before And After Contrast 66 28 $312.00 $312.00 $55.22 $391.00 $294.82 2025-12-11
P9058 HCPCS Red Blood Cells, Leukocytes Reduced, Cmv-negative, Irradiated, Each Unit 28 28 $310.00 $310.00 $217.00 $310.00 $294.50 2025-12-11
82805 HCPCS Blood Gases Measurement, With O2 Saturation 28 28 $310.00 $310.00 $217.00 $310.00 $294.50 2025-12-11
82803 HCPCS Blood Gases Measurement 28 28 $310.00 $310.00 $217.00 $310.00 $294.50 2025-12-11
65220 HCPCS Removal Of Foreign Body In Cornea 56 28 $339.00 $339.00 $39.41 $358.90 $292.60 2025-12-11
81295 HCPCS Gene Analysis (mutS Homolog 2, Colon Cancer, Nonpolyposis Type 1) Full Sequence … 28 28 $306.00 $306.00 $214.20 $306.00 $290.70 2025-12-11
97167 HCPCS Evaluation For Occupational Therapy, Typically 1 Hour 28 28 $306.00 $306.00 $214.20 $306.00 $290.70 2025-12-11
77080 HCPCS Dxa Bone Density Measurement Of Hip, Pelvis, Spine 84 28 $330.00 $330.00 $7.38 $331.00 $290.40 2025-12-11
12041 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less 60 28 $392.00 $392.00 $142.13 $392.00 $289.13 2025-12-11
76775 HCPCS Limited Ultrasound Scan Behind Abdominal Cavity 84 28 $329.00 $329.00 $26.50 $329.00 $289.09 2025-12-11
80230 HCPCS Measurement Of Infliximab 28 28 $303.00 $303.00 $212.10 $303.00 $287.85 2025-12-11
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 28 28 $302.00 $302.00 $211.40 $302.00 $286.90 2025-12-11
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 168 28 $381.00 $381.00 $21.97 $639.00 $283.31 2025-12-11
90716 HCPCS Varicella Vaccine 28 28 $298.00 $298.00 $208.60 $298.00 $283.10 2025-12-11
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 168 28 $380.00 $380.00 $21.64 $639.00 $282.34 2025-12-11
16020 HCPCS Dressing Change Or Removal Of Burn Tissue, Less Than 5% Of Total Body Surface 94 28 $323.00 $323.00 $54.57 $343.00 $281.01 2025-12-11
99235 HCPCS Hospital Inpatient Or Observation Care With Admission And Discharge On The Same … 28 28 $319.00 $319.00 $152.50 $309.43 $279.38 2025-12-11
99205 HCPCS New Patient Office Or Other Outpatient Visit With A High Level Of Medical Decisi… 80 28 $421.00 $421.00 $117.60 $571.33 $279.32 2025-12-11
J2404 HCPCS Injection, Nicardipine, 0.1 Mg 56 28 $375.50 $375.50 $71.40 $649.00 $278.15 2025-12-11
12015 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6… 56 28 $385.00 $385.00 $90.61 $463.66 $277.40 2025-12-11
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 84 28 $299.00 $299.00 $53.07 $1,923.00 $276.58 2025-12-11
12031 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O… 56 28 $306.50 $306.50 $147.65 $308.00 $275.85 2025-12-11
99306 HCPCS Initial Nursing Facility Care With High Level Of Medical Decision Making, Per Da… 28 28 $341.00 $341.00 $175.16 $350.32 $275.81 2025-12-11
84307 HCPCS Somatostatin (growth Hormone Inhibitor) Level 28 28 $290.00 $290.00 $203.00 $290.00 $275.50 2025-12-11
99292 HCPCS Critical Care, Each Additional 30 Minutes 56 28 $340.00 $340.00 $102.71 $404.00 $275.26 2025-12-11
94762 HCPCS Test To Measure Oxygen Level In Blood Using Ear Or Finger Device Continuously Ov… 29 28 $289.00 $289.00 $202.30 $289.00 $274.55 2025-12-11
81374 HCPCS Hla Class I Typing, Low Resolution One Antigen Equivalent 28 28 $289.00 $289.00 $202.30 $289.00 $274.55 2025-12-11
76856 HCPCS Complete Ultrasound Scan Of Pelvis 56 28 $358.00 $358.00 $31.35 $545.00 $273.69 2025-12-11
28475 HCPCS Closed Treatment Of Broken Foot With Manipulation 56 28 $468.00 $468.00 $190.40 $644.08 $272.00 2025-12-11
82030 HCPCS Adenosine, 5-monophosphate, Cyclic (cyclic Amp) Level 28 28 $286.00 $286.00 $200.20 $286.00 $271.70 2025-12-11
76776 HCPCS Ultrasound Scan Of Transplanted Kidney 56 28 $353.50 $353.50 $34.58 $533.00 $270.94 2025-12-11
29581 HCPCS Application Of Vein Wound Compression Bandages On Lower Leg, Ankle, And Foot 28 28 $282.00 $282.00 $197.40 $282.00 $267.90 2025-12-11
8028193_1 CDM Room & Board - Other - General Classification 25 25 $276.00 $276.00 $207.00 $276.00 $267.72 2025-12-11
8028227_1 CDM Room & Board - Semi-private (two Beds) - Other 25 25 $276.00 $276.00 $207.00 $276.00 $267.72 2025-12-11
76815 HCPCS Limited Ultrasound Of Pregnant Uterus 84 28 $304.00 $304.00 $29.74 $304.00 $267.12 2025-12-11
85307 HCPCS Activated Protein Resistance Assay 28 28 $280.00 $280.00 $196.00 $280.00 $266.00 2025-12-11
72193 HCPCS CT Scan Of Pelvis With Contrast 84 28 $287.00 $287.00 $50.31 $1,212.00 $265.48 2025-12-11
12005 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 56 28 $342.50 $342.50 $90.94 $496.00 $265.26 2025-12-11
See an error in this hospital's data? Submit a correction